Evaluation of Resectability, Surgical Approaches And Out Come of Intraventicular Tumors--A Prospective Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
Aims & Observations: To study clinical characteristics, presentation, surgical approaches, resectability and surgical out come of intra venticular tumors Materials & Methods: Patients age ranging between minimum of 1 Year to maximum of 43 yrs. Most of them presented with raised ICP (15), Seizers (8), Visual disturbances (6). CT& MRI are the main diagnostic modalities, Surgical approach and resection was based on location of tumor. In our study in 13 patients tumors are located in lateral ventricles and another 13 patients in 4th ventricle and n 12 patients in 3rd ventricle. 3 rd ventricle tumors were approached via the tarns callosal approach, endoscopic and combined. Transcortical route was used for tumors of the lateral ventricle and suboccipital route was used for the 4th ventricular lesions. Outcome depended on the size of the lesion, the pre op morbidity status and the approach used for the lesion. Conclusion: For small 3rd ventricular tumors, tarnscallosal approach is ideal, but for larger lesions and lesions of lateral ventricles, the transcortical approach was better the in terms of intra operative visualization of the lesion and the completeness of excision, and thereby shows a better outcome. Most postoperative morbidity and mortality were due to hematoma/hydrocephalus
Authors and Affiliations
Vijayasekhar Manda, Kodanda Giri Rao MS.
Keywords
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- EP ID EP250826
- DOI 10.9790/0853-1612076267
- Views 55
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